# T PROPERT Y SUMMARY Date : 11/29/200 7 Omah aLea dSit e Remedia l Actio n Contrac t #EP-R7-07-0 6 Mont h of : Novembe r Propert y Address : 244 9 Bauma n A v A . EXECUTIV E SUMMAR Y A. I Issue s Encountered : Roc k garde n i n B 2 wa s denie dacces s - teste da t 276 @ scrap e A. 2 Issue s Resolved : Re-See dwil l occu r i n Novembe r o n an y dea dspot s t o encourag e sprin g growth . A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Information : CONFIRMATIO N SAMPLIN G DATA/RESULTS : F l - 12 3 @ 6 " F 2 - 6 2 @ 4 " B 2 - 16 4 @ 6 " 

### Dl-33@10 " E l - 8 4 @ scrap e ATTACHMENT S 1 ) Propert y sketc h provide db y EP A pursuan t t o contrac t specification s 2 ) Signe dAcces s Agreemen t includin g acces s agreement s require dfo r crossin g othe r propertie s 3 ) Pre-Excavatio n digita l vide o clip/photograph s 4 ) Post-Excavatio n digita l vide o clip/photograph s 5 ) Documentatio n - Complete dClose-ou t Checklis t 6 ) As-Buil t sketc h ­ i ) Shal l includ e fina l lea dlevel s v ) Legen d ii ) Contaminatio n lef t behin darea s vi ) Contracto r identificatio n 

### iii ) Property addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e include di n th e individua l propert y file , i f available , o r obtaine dinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit h th e propert y owner ) ii ) Excavatio n digita l vide o i n MPEG , WM V (Window s Medi aVideo ) o r SW F(Flas h Player ) forma t and/or photograph s iii ) Signe dfor mverifyin g satisfactor y restoratio n iv ) Descriptio n o f area s no t meetin g Interi mRO D cleanu p criteria .

HNOLOCIES , IN C 4028617 9 Superfun dOmah a Lea d Sit e Sit e Sketc h

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## v?P ? venvironmenta l samplin g an d to Aetio n ^^totfafaj - remov e lead-contaminated sof l Prudent Technologies , Inc . (Prudent ) i s under contrac t wimm e U . S . Environmenta l Protection Agency (EPA) t o dean u p load-coatanunate dsoil s a t anumber o f propertie s locatedin Omaha , Nebraska , tadufa ame propert y locateda t C'M ^ "Bfl-UfrfVA ) /^i/i± . Th e EPA request s your penmssto o t o allow Prudent t

o perfor masoi l deanup a t mi s propert y t o remov e leao^oinammatedsoil . B y signing (M s form , the propert y owne r grant s permission t o Prudent t

o perfor mactivitie s relatedt o the deanup indufin g soi l sampling , remova l o f lead-contaminatedsoil ^ w & restoraho n o f m e reference d property . Afte r obfiaintn g fl u owne r s siBnang e o n thi s form , Prudent TftTBioiopys , "** ? will contact m e propert y ownn r (anel residents ) withi n me nexf fe w weeks to coordinat e performanc e the wor k If

you hav e an y question s about the soi l deanup planne dfor your property , pleas e contac t Prudent' s Adffluastraov B Cler k

fo r m e Omah alea dSit e deanup , Ms . Cymfi e Hind s a t (402 ) 504-1004 . Genera l question s about m e Omah aLea dSit e deanup ca n b e directedt o the EP A Publi c Informatio n Center s a t (402 ) 731-304 5 (sotimOmah aoffice ) o r (402 ) 991-958 3 (nor mOmah aoffice) . Propert y Acces s Gnmtei i By : Propert y Owne r Signatur e PROPBIT Y 1HFORMATION (T o b e completedb y residen t anoVa r propert y ovne r - pleas e pint) RESIDEMTMA« : ^l^T- M ±£g}hi O D . RESIDCHT AD D HESS : IFRENTAL . PRCIPER WOWNE D BY :



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## EP A Propert y Clos e Ou t For m Property # : Propert y Address : /J?VV 9 ftftasna * Date/Time : Owner' s Name : Quad s Excavated : Contracto r Grou p Excavatio n Genera l 1 .I f necessary , were th e correc t quadrant(s ) excavate dan drestored ? 2 .

I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? Gradin g So dan dVegetatio n 1 . Doe s th e gradin g aroun dth e perimete r o f th e hous e i n excavate darea s generall y slop e away fro mth e house ? 2 .Ha s so dbee n lai di n al l area s that wer e excavated ? 3 .Doe s th e so dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecteda t a3 0 da

y time period ) 4 .Are sodde darea s generall y fir man devenl y graded ? 5 .Are th e joint s betwee n th e so dstrip s generall y tight ? (Onl y evaluat e i f inspecteda t a3 0 da y time period ) 6 .Wa s th e property grade dsuc h that wate r wil l no t poo l o n th e property ? 7 .Wa s damag e t o landscapin g o r plan t material s avoided ? Gates , Fence s an dRetainin g Wall s 1 .D o gate s ope n an dclos e freely ? (I f applicable ) 2 .Were al l gate s o r fence s take n dow n durin g restoratio n activitie s reinstalled ? (I f applicable ) 3 .Wa s damag e to gate s o r fence s avoided ? (I f applicable ) 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) Foundation , Sidin g an dGutter s 1 .Wa s damag e t o th e sidin g o r tri mavoided ? 2 .Wa s damag e t o th e foundatio n avoided ? 3 .Wa s damag e to window s avoided ? 4 .Wa s damag e to window s o r doo r screen s avoided ? 5 .Wa s damag e to downspout s o r downspou t extension s avoided ? Sidewalk s an dDriveway s (Concrete ) 1 .Wa s damag e t o drivewa y surface s avoided ? 2 .Wa s damag e t o walkwa y surface s avoided ? Ye s N o 

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Omah aLea dSh e 46904.783-0 14OLOGIES , INC . 

## Propert y Completio n Agreemen t Thi s agreemen t document s th e completio n o f remova l activitie s performe do n th e belo w liste dproperty . Th e propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfie dwit h th e restoratio n o f th e subjec t property , an dtha t n o item s ar e i n question , now , o r a t an y tim e i n th e future , excludin g an y remainin g so dwarrant y (9 0 day s total ) excep t thos e item s liste dbelow , i f any . Property ID : Property Address : Owner : 

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## Dougla s County-Omaha , N E

Parce l I D Owne r Nam e Propert y Addres s Cit y Zi p Owne r Addres s Owne r Addres s 2 Owne rCit y Owne r State Owne rZi p 

### 174994000 0 STARK S KEVI N D 244 9 BAUMA N |A V OMAH A 6811 2 244 9 BAUMA N AV E OMAH A N E 6811 2 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lo t Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Website Lin k 33-16-1 3 MINN E LUSA 

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$0.0 0 Improvement $70 , $70 , $70 , $48 , $48 , $ ( 400.0 0 400.0 0 400.0 0 300.0 0 900.0 0 ).0 0 Tota l $76,100.0 0 $76,100.0 0 $76,100.0 0 $54,600.0 0 $54,600.0 0 $0.0 0 Sale s Informatio n Dat e Typ e Boo k Pag e Pric e Lan d Informatio n Acre s 0.1 1 S F 5040. 0 F F 42. 0 Unit s 1. 0 Dept h 120. 0

Widt h 42. 0 Vacan t N o Lan d Attribute s Attribut e Attribut e Descriptio n Improvemen t Informatio n Buildin g 1



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### 1. 0 Interior : Drywal l Bedrooms : 2. 0 Roo f Cove n Compositio n Shingl e Stories : 1. 5 

### Roof Type : Foundation : Floorcover : Allowanc e Sprinkle rSquare Footage : 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Phvsica l Aa e Remodeled Remodeled Buil t 191 8 0 % 191 8 8 6 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 

### 1. 0 Applianc e Fireplac e Masonr y 1. 0 Basemen t Bsmn t Bloc k 8 f t 1080. 0 Fixtur e Bas e Fixture s 

### 1. 0 Fixture Bat h Ful l 1. 0 Garag e Detache d 360. 0 Porc h Enc l Soli d Wal l 132. 0 Use r Atti c Ful l Finis h 548. 0



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### I JOMAH A |N E |6811 2 Assessmen t XR F Date : Owne rPhone : Alternat e Phone : 

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htt p ://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 74994000 0 Disclaimer: Ma p an d parce l dat a ar e believe d t o b e accurate , bu t accuracyi s no t Ma p Scal e guaranteed . Thi s i s no t a lega l documen t an d shoul d no t b e substitute d fo ra titl e search , 1 inc h = 9 7 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 6/21/200 7